ICD-10-PCS Book 2025 Edition

Sections / 0 Medical and Surgical / 0L Tendons / 0LU Supplement
PCS Table 0LU
Section0Medical and Surgical
Body SystemLTendons
OperationUSupplement
Body PartApproachDeviceQualifier
0Head and Neck Tendon
1Shoulder Tendon, Right
2Shoulder Tendon, Left
3Upper Arm Tendon, Right
4Upper Arm Tendon, Left
5Lower Arm and Wrist Tendon, Right
6Lower Arm and Wrist Tendon, Left
7Hand Tendon, Right
8Hand Tendon, Left
9Trunk Tendon, Right
BTrunk Tendon, Left
CThorax Tendon, Right
DThorax Tendon, Left
FAbdomen Tendon, Right
GAbdomen Tendon, Left
HPerineum Tendon
JHip Tendon, Right
KHip Tendon, Left
LUpper Leg Tendon, Right
MUpper Leg Tendon, Left
NLower Leg Tendon, Right
PLower Leg Tendon, Left
QKnee Tendon, Right
RKnee Tendon, Left
SAnkle Tendon, Right
TAnkle Tendon, Left
VFoot Tendon, Right
WFoot Tendon, Left
0Open
4Percutaneous Endoscopic
7Autologous Tissue Substitute
JSynthetic Substitute
KNonautologous Tissue Substitute
ZNo Qualifier

0LU prefixed ICD-10-PCS codes
0LU007Z Supplement Head and Neck Tendon with Autologous Tissue Substitute, Open Approach
0LU00JZ Supplement Head and Neck Tendon with Synthetic Substitute, Open Approach
0LU00KZ Supplement Head and Neck Tendon with Nonautologous Tissue Substitute, Open Approach
0LU047Z Supplement Head and Neck Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU04JZ Supplement Head and Neck Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU04KZ Supplement Head and Neck Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU107Z Supplement Right Shoulder Tendon with Autologous Tissue Substitute, Open Approach
0LU10JZ Supplement Right Shoulder Tendon with Synthetic Substitute, Open Approach
0LU10KZ Supplement Right Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach
0LU147Z Supplement Right Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU14JZ Supplement Right Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU14KZ Supplement Right Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU207Z Supplement Left Shoulder Tendon with Autologous Tissue Substitute, Open Approach
0LU20JZ Supplement Left Shoulder Tendon with Synthetic Substitute, Open Approach
0LU20KZ Supplement Left Shoulder Tendon with Nonautologous Tissue Substitute, Open Approach
0LU247Z Supplement Left Shoulder Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU24JZ Supplement Left Shoulder Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU24KZ Supplement Left Shoulder Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU307Z Supplement Right Upper Arm Tendon with Autologous Tissue Substitute, Open Approach
0LU30JZ Supplement Right Upper Arm Tendon with Synthetic Substitute, Open Approach
0LU30KZ Supplement Right Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach
0LU347Z Supplement Right Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU34JZ Supplement Right Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU34KZ Supplement Right Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU407Z Supplement Left Upper Arm Tendon with Autologous Tissue Substitute, Open Approach
0LU40JZ Supplement Left Upper Arm Tendon with Synthetic Substitute, Open Approach
0LU40KZ Supplement Left Upper Arm Tendon with Nonautologous Tissue Substitute, Open Approach
0LU447Z Supplement Left Upper Arm Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU44JZ Supplement Left Upper Arm Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU44KZ Supplement Left Upper Arm Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU507Z Supplement Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach
0LU50JZ Supplement Right Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach
0LU50KZ Supplement Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach
0LU547Z Supplement Right Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU54JZ Supplement Right Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU54KZ Supplement Right Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU607Z Supplement Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Open Approach
0LU60JZ Supplement Left Lower Arm and Wrist Tendon with Synthetic Substitute, Open Approach
0LU60KZ Supplement Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Open Approach
0LU647Z Supplement Left Lower Arm and Wrist Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU64JZ Supplement Left Lower Arm and Wrist Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU64KZ Supplement Left Lower Arm and Wrist Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU707Z Supplement Right Hand Tendon with Autologous Tissue Substitute, Open Approach
0LU70JZ Supplement Right Hand Tendon with Synthetic Substitute, Open Approach
0LU70KZ Supplement Right Hand Tendon with Nonautologous Tissue Substitute, Open Approach
0LU747Z Supplement Right Hand Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU74JZ Supplement Right Hand Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU74KZ Supplement Right Hand Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU807Z Supplement Left Hand Tendon with Autologous Tissue Substitute, Open Approach
0LU80JZ Supplement Left Hand Tendon with Synthetic Substitute, Open Approach
0LU80KZ Supplement Left Hand Tendon with Nonautologous Tissue Substitute, Open Approach
0LU847Z Supplement Left Hand Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU84JZ Supplement Left Hand Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU84KZ Supplement Left Hand Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU907Z Supplement Right Trunk Tendon with Autologous Tissue Substitute, Open Approach
0LU90JZ Supplement Right Trunk Tendon with Synthetic Substitute, Open Approach
0LU90KZ Supplement Right Trunk Tendon with Nonautologous Tissue Substitute, Open Approach
0LU947Z Supplement Right Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LU94JZ Supplement Right Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LU94KZ Supplement Right Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUB07Z Supplement Left Trunk Tendon with Autologous Tissue Substitute, Open Approach
0LUB0JZ Supplement Left Trunk Tendon with Synthetic Substitute, Open Approach
0LUB0KZ Supplement Left Trunk Tendon with Nonautologous Tissue Substitute, Open Approach
0LUB47Z Supplement Left Trunk Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUB4JZ Supplement Left Trunk Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUB4KZ Supplement Left Trunk Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUC07Z Supplement Right Thorax Tendon with Autologous Tissue Substitute, Open Approach
0LUC0JZ Supplement Right Thorax Tendon with Synthetic Substitute, Open Approach
0LUC0KZ Supplement Right Thorax Tendon with Nonautologous Tissue Substitute, Open Approach
0LUC47Z Supplement Right Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUC4JZ Supplement Right Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUC4KZ Supplement Right Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUD07Z Supplement Left Thorax Tendon with Autologous Tissue Substitute, Open Approach
0LUD0JZ Supplement Left Thorax Tendon with Synthetic Substitute, Open Approach
0LUD0KZ Supplement Left Thorax Tendon with Nonautologous Tissue Substitute, Open Approach
0LUD47Z Supplement Left Thorax Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUD4JZ Supplement Left Thorax Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUD4KZ Supplement Left Thorax Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUF07Z Supplement Right Abdomen Tendon with Autologous Tissue Substitute, Open Approach
0LUF0JZ Supplement Right Abdomen Tendon with Synthetic Substitute, Open Approach
0LUF0KZ Supplement Right Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach
0LUF47Z Supplement Right Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUF4JZ Supplement Right Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUF4KZ Supplement Right Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUG07Z Supplement Left Abdomen Tendon with Autologous Tissue Substitute, Open Approach
0LUG0JZ Supplement Left Abdomen Tendon with Synthetic Substitute, Open Approach
0LUG0KZ Supplement Left Abdomen Tendon with Nonautologous Tissue Substitute, Open Approach
0LUG47Z Supplement Left Abdomen Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUG4JZ Supplement Left Abdomen Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUG4KZ Supplement Left Abdomen Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUH07Z Supplement Perineum Tendon with Autologous Tissue Substitute, Open Approach
0LUH0JZ Supplement Perineum Tendon with Synthetic Substitute, Open Approach
0LUH0KZ Supplement Perineum Tendon with Nonautologous Tissue Substitute, Open Approach
0LUH47Z Supplement Perineum Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUH4JZ Supplement Perineum Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUH4KZ Supplement Perineum Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUJ07Z Supplement Right Hip Tendon with Autologous Tissue Substitute, Open Approach
0LUJ0JZ Supplement Right Hip Tendon with Synthetic Substitute, Open Approach
0LUJ0KZ Supplement Right Hip Tendon with Nonautologous Tissue Substitute, Open Approach
0LUJ47Z Supplement Right Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUJ4JZ Supplement Right Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUJ4KZ Supplement Right Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUK07Z Supplement Left Hip Tendon with Autologous Tissue Substitute, Open Approach
0LUK0JZ Supplement Left Hip Tendon with Synthetic Substitute, Open Approach
0LUK0KZ Supplement Left Hip Tendon with Nonautologous Tissue Substitute, Open Approach
0LUK47Z Supplement Left Hip Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUK4JZ Supplement Left Hip Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUK4KZ Supplement Left Hip Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUL07Z Supplement Right Upper Leg Tendon with Autologous Tissue Substitute, Open Approach
0LUL0JZ Supplement Right Upper Leg Tendon with Synthetic Substitute, Open Approach
0LUL0KZ Supplement Right Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LUL47Z Supplement Right Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUL4JZ Supplement Right Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUL4KZ Supplement Right Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUM07Z Supplement Left Upper Leg Tendon with Autologous Tissue Substitute, Open Approach
0LUM0JZ Supplement Left Upper Leg Tendon with Synthetic Substitute, Open Approach
0LUM0KZ Supplement Left Upper Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LUM47Z Supplement Left Upper Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUM4JZ Supplement Left Upper Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUM4KZ Supplement Left Upper Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUN07Z Supplement Right Lower Leg Tendon with Autologous Tissue Substitute, Open Approach
0LUN0JZ Supplement Right Lower Leg Tendon with Synthetic Substitute, Open Approach
0LUN0KZ Supplement Right Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LUN47Z Supplement Right Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUN4JZ Supplement Right Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUN4KZ Supplement Right Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUP07Z Supplement Left Lower Leg Tendon with Autologous Tissue Substitute, Open Approach
0LUP0JZ Supplement Left Lower Leg Tendon with Synthetic Substitute, Open Approach
0LUP0KZ Supplement Left Lower Leg Tendon with Nonautologous Tissue Substitute, Open Approach
0LUP47Z Supplement Left Lower Leg Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUP4JZ Supplement Left Lower Leg Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUP4KZ Supplement Left Lower Leg Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUQ07Z Supplement Right Knee Tendon with Autologous Tissue Substitute, Open Approach
0LUQ0JZ Supplement Right Knee Tendon with Synthetic Substitute, Open Approach
0LUQ0KZ Supplement Right Knee Tendon with Nonautologous Tissue Substitute, Open Approach
0LUQ47Z Supplement Right Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUQ4JZ Supplement Right Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUQ4KZ Supplement Right Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUR07Z Supplement Left Knee Tendon with Autologous Tissue Substitute, Open Approach
0LUR0JZ Supplement Left Knee Tendon with Synthetic Substitute, Open Approach
0LUR0KZ Supplement Left Knee Tendon with Nonautologous Tissue Substitute, Open Approach
0LUR47Z Supplement Left Knee Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUR4JZ Supplement Left Knee Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUR4KZ Supplement Left Knee Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUS07Z Supplement Right Ankle Tendon with Autologous Tissue Substitute, Open Approach
0LUS0JZ Supplement Right Ankle Tendon with Synthetic Substitute, Open Approach
0LUS0KZ Supplement Right Ankle Tendon with Nonautologous Tissue Substitute, Open Approach
0LUS47Z Supplement Right Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUS4JZ Supplement Right Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUS4KZ Supplement Right Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUT07Z Supplement Left Ankle Tendon with Autologous Tissue Substitute, Open Approach
0LUT0JZ Supplement Left Ankle Tendon with Synthetic Substitute, Open Approach
0LUT0KZ Supplement Left Ankle Tendon with Nonautologous Tissue Substitute, Open Approach
0LUT47Z Supplement Left Ankle Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUT4JZ Supplement Left Ankle Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUT4KZ Supplement Left Ankle Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUV07Z Supplement Right Foot Tendon with Autologous Tissue Substitute, Open Approach
0LUV0JZ Supplement Right Foot Tendon with Synthetic Substitute, Open Approach
0LUV0KZ Supplement Right Foot Tendon with Nonautologous Tissue Substitute, Open Approach
0LUV47Z Supplement Right Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUV4JZ Supplement Right Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUV4KZ Supplement Right Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUW07Z Supplement Left Foot Tendon with Autologous Tissue Substitute, Open Approach
0LUW0JZ Supplement Left Foot Tendon with Synthetic Substitute, Open Approach
0LUW0KZ Supplement Left Foot Tendon with Nonautologous Tissue Substitute, Open Approach
0LUW47Z Supplement Left Foot Tendon with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0LUW4JZ Supplement Left Foot Tendon with Synthetic Substitute, Percutaneous Endoscopic Approach
0LUW4KZ Supplement Left Foot Tendon with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach